Individual provider Active NPI

Jacob M. Levine, M.D.

  • Internal Medicine Physician
  • Pikesville, MD
National Provider Identifier
1396784245
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0048189 Issued in MD
Practice address
1838 Greene Tree Rd Ste 225B
Pikesville, MD 21208-7115
Phone
(443) 471-3270
Fax
(410) 584-1875
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0048189 MD Primary

Addresses

Primary practice location

1838 Greene Tree Rd Ste 225B
Pikesville, MD 21208-7115

Mailing address

515 Fairmount Ave Ste 400
Towson, MD 21286-8518
Phone (443) 471-3270

Other identifiers 1

IdentifierTypeStateIssuer
030301100MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jacob.levine.p2@direct.clinicalassociates.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
80.72
Promoting interoperability
79
Improvement activities
40
Cost
76.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0048189MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Clinical Associates P a Past Accepting new patients
Integrace Health Inc Past Accepting new patients
Cedar Ridge Counseling Centers LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1396784245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE STE 400",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868518",
            "telephone_number": "443-471-3270",
            "fax_number": "410-584-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD STE 225B",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087115",
            "telephone_number": "443-471-3270",
            "fax_number": "410-584-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "JACOB",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0048189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030301100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacob.levine.p2@direct.clinicalassociates.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1838 Greene Tree Rd Ste 225B",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212087115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.